The presentation of the mind-brain problem in leading psychiatry journals

Views on the mind-brain problem do matter: Assumptions and practical implications among psychiatrists and mental health researchers in Brazil

OBJECTIVE

Despite being rarely discussed, understanding themind-brain problem (MBP) is essential to mental health. We aimed to explore the assumptions and practical implications of MBP among mental health professionals.

METHODS

We recruited psychiatrists and mental health researchers. MBP perspectives were assessed directly and indirectly (via thought experiments and clinical vignettes).

RESULTS

214 participants participated. Most (60.7%) believed the mind is a product of the brain, however endorsed lower persistence of mental characteristics than physical after thebody duplication experiment. Neurobiological etiology attribution to the clinical vignette was associated with reduced attribution of patient's responsibility, the inverse for psychological etiology. Substance dualism correlated with belief in free will and spiritual etiologies without denying neurobiological, psychological, and social etiologies.

CONCLUSIONS

MBP assumptions influence perceptions of etiology, responsibility, and free will, highlighting the importance of understanding MBP for advancing psychiatry.

Concepts of Mental Disorders Among Psychiatrists, Psychologists, and Theologians

The objective of this study was to compare the perspectives of psychiatrists, psychologists, and theologians on schizophrenia, depression, anxiety, and antisocial personality disorder. A cross-sectional research design was utilized, involving a random sample selected from the official registries of these professionals. The findings revealed significant differences in how these groups conceptualize mental disorders. The preferred concepts varied depending on the specific disorder. For instance, when it came to schizophrenia, psychiatrists showed a greater inclination towards the psychodynamic concept compared to psychologists, who leaned more towards the cognitive and social constructivist concepts. In the case of depression, psychiatrists favored biological, psychodynamic, and spiritual concepts, while psychologists tended to prefer the cognitive concept. Theologians consistently favored the spiritual concept across all four diagnoses, in comparison to both psychiatrists and psychologists. This research holds significant value for both theoretical understanding and practical applications, and future studies should consider incorporating qualitative, in-depth research to explore the complexities of these concepts related to mental disorders.

Methodological Exclusion of the Transcendent? Implications for Theory and Research in Religion, Spirituality and Health

Early in the founding of psychology of religion, a debated issue was the methodological exclusion of the transcendent (MET). While cautiously endorsed by Theodore Flournoy, others, notable William James and Frederic Myers, refused to be limited by this principle. This paper discusses (a) what is MET as proposed by Flournoy and the reasons he provided to adopt it, (b) problems with MET, implications for research and theory in religion/spirituality and health, and why the transcendent should be included in psychological, medical and other academic research and theory on spiritual experiences (SE), and (c) some methodological guidelines perform it fruitfully.

A Manifesto in Defense of Pain Complexity: A Critical Review of Essential Insights in Pain Neuroscience

Chronic pain has increasingly become a significant health challenge, not just as a symptomatic manifestation but also as a pathological condition with profound socioeconomic implications. Despite the expansion of medical interventions, the prevalence of chronic pain remains remarkably persistent, prompting a turn towards non-pharmacological treatments, such as therapeutic education, exercise, and cognitive-behavioral therapy. With the advent of cognitive neuroscience, pain is often presented as a primary output derived from the brain, aligning with Engel's Biopsychosocial Model that views disease not solely from a biological perspective but also considering psychological and social factors. This paradigm shift brings forward potential misconceptions and over-simplifications. The current review delves into the intricacies of nociception and pain perception. It questions long-standing beliefs like the cerebral-centric view of pain, the forgotten role of the peripheral nervous system in pain chronification, misconceptions around central sensitization syndromes, the controversy about the existence of a dedicated pain neuromatrix, the consciousness of the pain experience, and the possible oversight of factors beyond the nervous system. In re-evaluating these aspects, the review emphasizes the critical need for understanding the complexity of pain, urging the scientific and clinical community to move beyond reductionist perspectives and consider the multifaceted nature of this phenomenon.

Effective Connectivity Between the Orbitofrontal Cortex and the Precuneus Differentiates Major Psychiatric Disorders: Results from a Transdiagnostic Spectral DCM Study

Translational psychiatry has been a hot topic in neurosciences research. The authors present a commentary on the relevant findings from a transdiagnostic study applicable to clinic practice. Additional discussion on conceptual and clinical insight into this current broad line of research is explored in the integration of multi-level paradigm in Psychiatry research.

Why Biological Psychiatry Hasn't Delivered Yet - and Why Neurology Knows

It is increasingly recognized that neuroscience has not delivered the revolutionary clinical possibilities for psychiatry that had been promised. Explanations differ, however: some proponents emphasize the divide between biopsychosocial psychiatry and mechanistic neurology. Others rely on further basic experimental neuroscience as only the most elementary level of explanation will allow us to fully understand and treat mental disorders. From a clinical-neuropsychological perspective, I shall argue that both views are mistaken. Diagnosis and treatment of neurological diseases demands a biopsychosocial perspective similar to psychiatry. Acknowledging this might help to bring both disciplines together and improve clinical outcome.

Controlled semi-naturalistic protocol to investigate anomalous information reception in mediumship: Description and preliminary findings

INTRODUCTION

In the current resurgence of studies investigating anomalous information reception (AIR) in mediumship, it has become a major challenge to balance ecological validity and rigorous control.

OBJECTIVE

To describe the method and present preliminary findings of a new controlled semi-naturalistic protocol combining ecological validity and control to investigate AIR in psychography (automatic writing), a form of mediumship that does not allow for instantaneous feedback.

METHOD

Experienced Brazilian psychography mediums and bereaved sitters were selected and blinded to each other until the automatic writing experimental sessions began. Mediums were continually monitored and filmed during all the procedures. Sitters filled in questionnaires on grief, spirituality, and paranormal beliefs. Investigators controlled all information received by the mediums: names of the sitter and deceased, age and cause of death and short interviews (usually ≤ 1 min). The experimental automatic writing sessions took place under the view of sitters and researchers. Immediately after the sessions, and then a few months later, sitters rated how likely the letter is to have come from their deceased loved ones.

RESULTS

A total of 142 sitters and three mediums participated, producing 26 automatically written letters to 21 sitters. Mediums felt comfortable with the protocol. Most sitters were women (82.4%) and had completed higher education (57.8%). Sitters who received letters had higher grief scores. At the time, 96.2% of letters were considered definitely or probably from the deceased relative, with a small but significant decline (92.3%) a few months later.

CONCLUSION

The new controlled semi-naturalistic method was well accepted and seems to be promising as a complementary method for investigating AIR in mediumship. Information obtained by mediums during sitters` brief interviews is a limitation, but they were registered by video recording and will be taken in consideration in the future analysis that will explore further the accuracy and probability of leakage of verifiable items of information in the letters.

Who Does Believe in life After Death? Brazilian Data from Clinical and Non-clinical Samples

Belief in afterlife is frequent, but little is known about how it relates to religiousness/spirituality (R/S) and socio-demographic variables. To investigate how the beliefs in afterlife and that "there is something beyond matter" are associated with socio-demographic, health, and R/S dimensions in a sample of medical inpatients and their companions. In multivariate analysis, afterlife belief correlated positively to educational level, religious affiliation, belief in something beyond matter, and private religious practices. Believe in something beyond matter correlated positively to afterlife belief and being spiritual. Educational level, rates of spirituality, religious affiliation, and private religious practices seem to influence the belief of afterlife and in a non-materialist cosmology.

An Empirical Investigation of Alleged Mediumistic Writing: A Case Study of Chico Xavier's Letters

The scientific study of mediumship can contribute to the understanding of the mind-brain relationship. This study investigated a letter written by the influential Brazilian "medium" Chico Xavier, whose authorship was attributed to a deceased person. We identified the letter's pieces of information that were objectively verifiable, and we analyzed their accuracy based on documents and on interviews with the deceased's relatives, and the likelihood of Xavier's access to the information via ordinary means. All the 29 items of verifiable information conveyed on the letter were rated as "clear and precise fit." The information conveyed was highly specific (e.g., names, dates, and specific events). Fourteen items (48.3%) conveyed information that was also very private. We concluded that ordinary explanations for accuracy of the information (i.e., fraud, chance, information leakage, and cold reading) were highly unlikely. We recommend further research on the phenomenon of mediumistic writing, particularly experimental controlled studies with exceptionally gifted mediums.